Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.56 / $3,839.00 / $8,113.00	Facility		$216.56	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $186.86 / $249.06	Professional		$167.74	$186.86	$249.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $162.74 / $246.45 / $369.46	Professional		$162.74	$246.45	$369.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $756.00 / $756.00	Facility		$756.00	$756.00	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $234.97 / $383.34	Professional		$178.38	$234.97	$383.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $265.38 / $295.10	Professional		$265.38	$265.38	$295.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $198.81 / $1,426.00	Professional		$167.74	$198.81	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $302.89 / $462.60	Professional		$238.90	$302.89	$462.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $756.00 / $756.00	Facility		$756.00	$756.00	$756.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $180.65 / $237.89 / $398.33	Professional		$180.65	$237.89	$398.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $180.82 / $180.82 / $313.01	Facility		$180.82	$180.82	$313.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $184.18 / $313.01	Professional		$172.88	$184.18	$313.01
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $240.11 / $397.89	Professional		$187.90	$240.11	$397.89